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Low back pain and patient-reported QOL outcomes in patients with adolescent idiopathic scoliosis without corrective surgery.

Makino T, Kaito T, Kashii M, Iwasaki M, Yoshikawa H - Springerplus (2015)

Bottom Line: The subdomain scores for self-image and satisfaction/dissatisfaction with management in SRS-22r did not differ between the groups.The age, Risser grade, radiographic parameters, and whether the patients were undergoing brace treatment did not differ between the groups.The patients with LBP demonstrated poorer QOL outcomes associated with LBP regardless of radiographic parameters, patients' self-image and satisfaction with treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Graduate School of Medicine, Osaka University, 2-2 Yamadaoka, Suita, Osaka 565-0871 Japan.

ABSTRACT

Purpose: To reveal the prevalence of low back pain (LBP) and association between LBP and patient-reported QOL outcomes (JOABPEQ and SRS-22r) in patients with adolescent idiopathic scoliosis (AIS) without corrective surgery.

Methods: Ninety-eight female patients with AIS without corrective surgery who answered JOABPEQ, SRS-22r, and VAS for LBP were included. The scores of all subdomains in JOABPEQ and SRS-22r were calculated. From the standing radiographs, we measured the Risser grade and radiographic parameters regarding the curve magnitude, coronal and sagittal balance, and spinopelvic alignment. Furthermore, we recorded whether the patients were undergoing brace treatment at the time of visiting our outpatient clinic. The patients with VAS >30 mm (moderate or severe LBP) were designated as Group P; VAS ≤30 mm, Group N. All variables were compared between the groups.

Results: The prevalence of LBP (VAS >0 mm) was 34.7% and that of moderate or severe LBP was 16.2%. All subdomain scores in JOABPEQ and those for function and pain in SRS-22r were significantly smaller in Group P than Group N. The subdomain scores for self-image and satisfaction/dissatisfaction with management in SRS-22r did not differ between the groups. The age, Risser grade, radiographic parameters, and whether the patients were undergoing brace treatment did not differ between the groups.

Conclusions: The prevalence of LBP was 34.7%, which was approximately three times higher than that previously reported in Japanese pupils without scoliosis. The patients with LBP demonstrated poorer QOL outcomes associated with LBP regardless of radiographic parameters, patients' self-image and satisfaction with treatment.

No MeSH data available.


Related in: MedlinePlus

Frequency distribution chart of visual analogue scale (VAS) for low back pain in the adolescent idiopathic scoliosis patients. The median VAS value was 27.5 mm (range 4–100 mm).
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Fig1: Frequency distribution chart of visual analogue scale (VAS) for low back pain in the adolescent idiopathic scoliosis patients. The median VAS value was 27.5 mm (range 4–100 mm).

Mentions: The prevalence of LBP (VAS >0 mm) was 34.7% (34/98 patients) and that of moderate or severe LBP (VAS >30 mm) was 16.2% (16/98 patients). The median VAS value of the patients with LBP was 27.5 mm (range 4–100 mm) (Fig. 1). Group P comprised 16 patients with the mean age of 15.4 years (range 11–18); Group N, 82 patients with the mean age of 14.6 years (range 10–18).Fig. 1


Low back pain and patient-reported QOL outcomes in patients with adolescent idiopathic scoliosis without corrective surgery.

Makino T, Kaito T, Kashii M, Iwasaki M, Yoshikawa H - Springerplus (2015)

Frequency distribution chart of visual analogue scale (VAS) for low back pain in the adolescent idiopathic scoliosis patients. The median VAS value was 27.5 mm (range 4–100 mm).
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4526512&req=5

Fig1: Frequency distribution chart of visual analogue scale (VAS) for low back pain in the adolescent idiopathic scoliosis patients. The median VAS value was 27.5 mm (range 4–100 mm).
Mentions: The prevalence of LBP (VAS >0 mm) was 34.7% (34/98 patients) and that of moderate or severe LBP (VAS >30 mm) was 16.2% (16/98 patients). The median VAS value of the patients with LBP was 27.5 mm (range 4–100 mm) (Fig. 1). Group P comprised 16 patients with the mean age of 15.4 years (range 11–18); Group N, 82 patients with the mean age of 14.6 years (range 10–18).Fig. 1

Bottom Line: The subdomain scores for self-image and satisfaction/dissatisfaction with management in SRS-22r did not differ between the groups.The age, Risser grade, radiographic parameters, and whether the patients were undergoing brace treatment did not differ between the groups.The patients with LBP demonstrated poorer QOL outcomes associated with LBP regardless of radiographic parameters, patients' self-image and satisfaction with treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Graduate School of Medicine, Osaka University, 2-2 Yamadaoka, Suita, Osaka 565-0871 Japan.

ABSTRACT

Purpose: To reveal the prevalence of low back pain (LBP) and association between LBP and patient-reported QOL outcomes (JOABPEQ and SRS-22r) in patients with adolescent idiopathic scoliosis (AIS) without corrective surgery.

Methods: Ninety-eight female patients with AIS without corrective surgery who answered JOABPEQ, SRS-22r, and VAS for LBP were included. The scores of all subdomains in JOABPEQ and SRS-22r were calculated. From the standing radiographs, we measured the Risser grade and radiographic parameters regarding the curve magnitude, coronal and sagittal balance, and spinopelvic alignment. Furthermore, we recorded whether the patients were undergoing brace treatment at the time of visiting our outpatient clinic. The patients with VAS >30 mm (moderate or severe LBP) were designated as Group P; VAS ≤30 mm, Group N. All variables were compared between the groups.

Results: The prevalence of LBP (VAS >0 mm) was 34.7% and that of moderate or severe LBP was 16.2%. All subdomain scores in JOABPEQ and those for function and pain in SRS-22r were significantly smaller in Group P than Group N. The subdomain scores for self-image and satisfaction/dissatisfaction with management in SRS-22r did not differ between the groups. The age, Risser grade, radiographic parameters, and whether the patients were undergoing brace treatment did not differ between the groups.

Conclusions: The prevalence of LBP was 34.7%, which was approximately three times higher than that previously reported in Japanese pupils without scoliosis. The patients with LBP demonstrated poorer QOL outcomes associated with LBP regardless of radiographic parameters, patients' self-image and satisfaction with treatment.

No MeSH data available.


Related in: MedlinePlus